1 / 33

Alaska Native Tribal Health Consortium May 4, 2010

Alaska Native Tribal Health Consortium May 4, 2010. Outline . Sanitation Facilities Construction in Alaska Platforms for Partnering Strategies Public Health Impact Common Threats/Opportunities Sustaining the Investment Funding Partners. Third World Sanitation in Alaska. Honey-Bucket Haul.

cade
Download Presentation

Alaska Native Tribal Health Consortium May 4, 2010

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Alaska Native Tribal Health ConsortiumMay 4, 2010

  2. Outline • Sanitation Facilities Construction in Alaska • Platforms for Partnering Strategies • Public Health Impact • Common Threats/Opportunities • Sustaining the Investment • Funding Partners

  3. Third World Sanitation in Alaska

  4. Honey-Bucket Haul Below: Basic Honey-bucket disposal and personal hygiene in Atmautluak Left: Honey-bucket Haul

  5. Honey-Bucket Haul Below: Winter honeybucket haul system in disposal lagoon Left: Summer honeybucket wastewater lagoon

  6. What can we do? Washeterias (Central Facilities)

  7. What can we do? Closed Haul

  8. What can we do? Piped Water and Sewer Aboveground utilidors in Kotlik Aboveground water and sewer service lines in Selawik

  9. Alaska: A Generation Behind the rest of Indian Country

  10. Alaska Sanitation Facts • 24% of all rural Native homes do not have adequate sanitation facilities • $800M+ unmet need in Alaska

  11. Health Impact of Improved Sanitation Relationship between in-home water service and infectious disease among Alaska Natives

  12. Gastrointestinal and postneonatal* mortality rates compared with percent of American Indian and Alaska Native homes having sanitation facilities Gastrointestinal mortality rate per 100,000 population (age-adjusted) Postneonatal mortality rate per 1,000 births Percent of homes having sanitation facilities * 29 days to one year of age

  13. Impact of Improved Sanitation • 67% reduction in diarrheal morbidity • 58% fewer clinic visits from sanitation-related disease • 55% reduction in overall child mortality

  14. Gastrointestinal and postneonatal* mortality rates compared with percent of American Indian and Alaska Native homes having sanitation facilities

  15. Gastrointestinal and postneonatal* mortality rates compared with percent of American Indian and Alaska Native homes having sanitation facilities * 29 days to one year of age

  16. Hospitalization rates for infants in villages with < 10% of homes with water service*, compared with U.S. infants** Rate per 1,000 births 5 x 11 x 5 x *YK region, Alaska, 1999-2004 **All U.S., 1999-2001

  17. Skin infection rates compared with water service in village of residence, all ages, YK Region, 1999-2000 * Rate per 1,000 persons * * * P < 0.001 for trend

  18. Impact on infants 1 out of 3 infants hospitalized for lower respiratory infections in Alaska

  19. Safe Water Builds a Healthy Future

  20. Leveraging Partnerships

  21. Invasive Pneumococcal Disease (IPD) Rates and Water Service The Pediatric Infectious Disease Journal March 2010

  22. Invasive Pneumococcal Disease • Existing studies allow us to say that those with in-house water have lower rates of infectious diseases. The study design does not allow us to say that water service “caused” the reduction. • A study that began in 2007 may allow us to show that provision of in-house water “caused” a reduction in respiratory infections, skin infections and infectious diarrhea. The study uses “gold standard” study model. • In this study, we will collect health information before and after piped water service is provided in 4 villages. We will also collect information on water use, use of liquid hand soap, frequency of domestic hygiene practices and reported change in quality of life indicators. • Results of this study should be available to the public in approximately 18 months.

  23. Climate Change: Issues and Needs in Alaska

  24. Alaska shown to scale

  25. Governor's Subcabineton Climate Change FINAL REPORT FROM THE IMMEDIATE ACTION WORKGROUP APRIL 17, 2008

  26. Shishmaref Accelerated Coastal Erosion

  27. Melting Permafrost could eliminate impermeable barriers • Community water source disappeared in Kwigillingok

  28. Sustaining the Investment in Rural Alaska

  29. Average Potable Water Consumption: Piped vs. Non-piped, Alaska

  30. Water/sewer management to provide good water every day to rural Alaska AK Rural Utility Cooperative

  31. S-1790 Section 311 • Planning, design, construction or operation of health care or sanitation facilities • Other Federal agencies authorized to transfer funds to IHS • IHS authorized to accept funds from Federal, State or other entities

More Related